LAX90LA171

NTSB accident investigation · Hughes 369E · Firebaugh, CA · May 11, 1990

Accident · No injuriesLimited investigationFinal report
Date
May 10, 1990, 18:00 local (May 11, 1990, 01:00 UTC)
Place
Firebaugh, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N5217NHughes 369E
Weather
Visual (VMC) · Day
Status
Completed · report November 23, 1992
Report
Approved by Office Director
FAA report
19900510015639A
Case key
26800

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

Failure by company maintenance to perform a mandatory compressor section inspection that resulted in the undetected erosion of the compressor vanes and engine failure. Contributing to the accident was the failure of the pilot to maintain adequate main rotor RPM at critical altitude.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfTakeoff - initial climb
Maintenance,inspection - not performedCompany maintenance personnelCause
Compressor assembly,stator vane - erodedFactor
Compressor assembly,stator vane - failure,partialFactor
Compressor assembly,stator vane - fracturedFactor
Forced landingDescent - emergency
Autorotation - initiatedPilot in command
Rotor rpm - inadequatePilot in commandFactor
Hard landingLanding - flare/touchdown

Analysis

The helicopter lost eng power and landed hard. The plt reported he had just completed releasing an external load. The helicopter was about 125 feet AGL in a climbing left turn when the plt heard a loud bang. The plt entered autorotation. The plt noted that the main rotor RPM was low and was unable to regain any main rotor RPM before the landing flair. At touchdown, the main rotor blades flexed downward and severed the tailboom. The third stage compressor had failed, damaging the remaining stages of the compressor. The compressor case plastic was eroded. The eng had undergone major maintenance at 1,774.5 hours which required the removal of the turbine section. There was no evidence in the eng logbooks of the compressor section being inspected at 1,750 hours as required by the manufacturer. The engine maintenance manual warns erosion will cause damage to compressor blades and vanes.

Aircraft

Registration
N5217N
Reported as
Hughes 369E
Category
Helicopter
Serial number
0134E
Airframe hours
1,854
Engine
Allison 250 C20B, 420 horsepower, turbo shaft
Damage
Substantial damage
Flight
Other work use · Part 133
Registered owner
Rogers Helicopters
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 5, 1990 · 95 hours before

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
55
Certificate
Commercial
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
7,372 total · 1,045 in this make and model · 7,007 as pilot in command · 63 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 46 °F
Altimeter
29.00 inHg
Observed at
FAT, 37 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.